CMS Price Transparency Data

Hepatitis C antibody test

Facility: Cameron Memorial Community Hospital Inc

Billing Code: 86803 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 86803
Insurance Median: $176
Cash Discount Price: $134
vs. Medicare Baseline: 12.33x Medicare

The contracted insurance negotiated median rate for a Hepatitis C antibody test at Cameron Memorial Community Hospital Inc is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $134. Compared to the federal Medicare reimbursement reference rate of $14.27, this hospital’s rate is 12.33x the Medicare baseline. Located in 416 E Maumee St, Angola, IN.

Cash / Self-Pay

$134

Average discount available for prompt cash payment at this facility.

Insurance Median

$176

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$14.27

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $14.27 (100%)

Cash / Self-Pay: $134 (939%)

Insurance Median: $176 (1233%)

Cash: $134 (939% of Medicare)

Ins. Median: $176 (1233% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $14.27 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1233% of the Medicare baseline (a markup of 1133%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$14 - $103	98%
Caresource Indiana Of In	$14 - $82	98%
Managed Health Services	$14	98%
Mdwise	$14	98%
Aetna	$71 - $193	498%
Humana	$71 - $193	498%
UnitedHealthcare	$71 - $176	498%
Plain Church Group Ministry	$87	610%
Centivo	$121	848%
Lucent	$121	848%
Phcs	$167	1170%
Php	$169	1184%
Sagamore Health Network	$172	1205%
Signature Care	$185 - $196	1296%
Three Rivers Preferred	$190	1331%
Cigna	$193	1352%
Coventry	$196	1374%
Lutheran Preferred	$201	1409%
Encore	$205	1437%
Frontpath	$205	1437%
Corvel	$208	1458%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $134.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 86803.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cameron Memorial Community Hospital Inc is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 86803.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.